NPI 1649654310 · live from the CMS NPI Registry
Benjamin Canary, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Boston, MA. National Provider Identifier 1649654310, active.
NPI record
| NPI | 1649654310 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 188 Longwood Avenue, Harvard School Of Dental Medicine, Boston, MA 02115 |
| Practice phone | 203-313-3454 |
| Mailing address | 314b Langley Road, Newton, MA 02459 |
| Enumerated | July 13, 2015 |
| Last updated | July 13, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN1856943 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | DN1856943 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN1856943 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.